Cardiology fisdap stuvia - Study guides, Class notes & Summaries

A 61 y/o M with chest pain took one dose of nitroglycerine prior to your arrival. He has experienced no relief. Vital signs are BP 88/44, P 58, R 22. What should you do? a. assist with the administration of aspirin b. apply oxygen c. transport immediately d. administer a second dose of nitroglycerine - ANSWER a. assist with the administration of aspirin He is hypotensive and doesn't meet the requirements for additional nitroglycerine. It is important to administer aspirin early when yo...

pericardial friction rub - to and fro sound inbetween systole and diastole (due to pericarditis) - ANSWER Divisions of Left Main Coronary Artery (LMCA) - ANSWER Left Anterior Descending & Circumflex coronary artery Left Main Coronary Artery supplies what? - ANSWER Left Ventricle, Interventricular Septum, Part of Right Ventricle Right Coronary Artery supplies what? - ANSWER Right Atrium, Right Ventricle, Part of Left Ventricle Diastole - ANSWER Period when ventricles relax and are pa...

A 44-year-old man reports dizziness and lightheadness. His BP is 88/26 mm Hg, his heart rate is 190 beats per minute and weak. His skin is cool clammy and pale. Why is his BP low? - ANSWER decreased ventricular timing Switching compressors during two-rescuer CPR: - ANSWER should occur every two minutes throughout the arrest Stable angina - ANSWER chest pain that occurs when a person is active or under severe stress Unstable angina - ANSWER chest pain that occurs while a person is at res...

Which intervention or interventions would have the MOST positive impact on the cardiac arrest patient's outcome? - ANSWER Early CPR and defibrillation The AED gives "no shock" message to a patient who is in cardiac arrest. You should: - ANSWER Resume chest compressions What is the maximum amount of time that should be spent checking for spontaneous breathing in an unresponsive child? - ANSWER 10 seconds When performing CPR on an adult, you should compress the chest to a depth of ___ ...

1. What does the OPQRST mnemonic stand for - Answer Onset, Provocation/palliation, Quality, Region/Radiation, Severity, and Time 2. When administering nitroglycerin to a patient with angina (ischemic chest pain), to which structures are you hoping to alleviate ischemia (dec blood flow) - Answer Coronary arteries 3. A 57 year old female complains of difficulty breathing. She has jugular vein distension (inc P of SVC causes jugular vein bulge), pedal edema (foot edema) and fatigue. What cham...

1. What does the OPQRST mnemonic stand for - ANSWER Onset, Provocation/palliation, Quality, Region/Radiation, Severity, and Time 2. When administering nitroglycerin to a patient with angina (ischemic chest pain), to which structures are you hoping to alleviate ischemia (dec blood flow) - ANSWER Coronary arteries 3. A 57 year old female complains of difficulty breathing. She has jugular vein distension (inc P of SVC causes jugular vein bulge), pedal edema (foot edema) and fatigue. What cham...

What is a commonly used vasopressor in ems? - Answer Dopamine shock sequence medications for vfib/pulseless vtach - Answer after delivering two shocks push epi 1 mg 1:10000. after 2 minutes push 300 mg of amiodarone. push another round of epi after 2 more minutes. after 2 minutes push 150 more mg of amiodarone. sequence for asystole or PEA - Answer start cpr after 2 minutes push epi and with continuous cpr and epi 1 mg (1:10000) pt has clear lung sounds, severe pedal edema, and feeling ...

1. What does the OPQRST mnemonic stand for - ANSWER Onset, Provocation/palliation, Quality, Region/Radiation, Severity, and Time 2. When administering nitroglycerin to a patient with angina (ischemic chest pain), to which structures are you hoping to alleviate ischemia (dec blood flow) - ANSWER Coronary arteries 3. A 57 year old female complains of difficulty breathing. She has jugular vein distension (inc P of SVC causes jugular vein bulge), pedal edema (foot edema) and fatigue. What cham...

Intrinsic rates - ANSWER SA node - 60 - 100 bpm AV junction - 40 - 60 bpm Purkinje network - 20 - 40 bpm Lidocaine doses - ANSWER 1-1.5 mg/kg, second dose 0.5-0.75 mg/kg Unstable VT tx - ANSWER Should be treated with synchronized cardioversion Hypotension, decreased LOC, shock, chest pain Stable VT tx - ANSWER IV/IO Adenosine 6mg; 12mg (followed by rapid saline flush) If ineffective, procainamide (20-50mg/min or amiodarone (150mg IV/10min) Consider antiarrhythmic infusion Defi...

A 61 y/o M with chest pain took one dose of nitroglycerine prior to your arrival. He has experienced no relief. Vital signs are BP 88/44, P 58, R 22. What should you do? a. assist with the administration of aspirin b. apply oxygen c. transport immediately d. administer a second dose of nitroglycerine - ANSWER a. assist with the administration of aspirin He is hypotensive and doesn't meet the requirements for additional nitroglycerine. It is important to administer aspirin early when yo...